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psnet.ahrq.gov/node/49844/psn-pdf
October 01, 2018 - Diffusion of Responsibility Leads to Danger
October 1, 2018
Balcezak TJ, Deshpande O. Diffusion of Responsibility Leads to Danger. PSNet [internet]. 2018.
https://psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
The Case
A 70-year-old man was sent to the emergency department (ED) from a nursing facility…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
March 01, 2017 - Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
Contents
Overview
How To Use This Guide
LTC Safety Toolkit Modules
Sustainability Essentials
Leadership Commitment
…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-slides.pptx
November 01, 2019 - Improving Antibiotic Use is a Patient Safety Issue
Making the Case That Improving Antibiotic Use Is a Patient Safety Issue
Acute Care
AHRQ Safety Program for Improving
Antibiotic Use
AHRQ Pub. No. 17(20)-0028-EF
November 2019
Improving Antibiotic Use – Patient Safety Issue
AHRQ Safety Program for Improving Antibio…
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psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
February 26, 2025 - The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm
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January 5, 2021
Innovation
Contact
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/painmgmt-facguide.docx
January 01, 2017 - Facilitator Guide: Build Your SSI Prevention Bundle
Slide Title and Commentary
Slide Number and Slide
Title Slide
Evidence Behind Pain, Agitation, and Delirium: Assessments and Sedation Management
SAY:
In this module, you will learn about the evidence behind pain, agitation, and delirium. You will also learn abou…
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psnet.ahrq.gov/primers-0
March 15, 2025 - Primers
Guides for key topics in patient safety through context, epidemiology, and relevant AHRQ PSNet content. The Patient Safety 101 Primer provides an overview of the patient safety field and covers key definitions and concepts.
Latest Primers
Clinical Decision Support Systems
March…
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psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - Medication Errors and Adverse Drug Events
December 15, 2024
Medication Errors and Adverse Drug Events. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect cu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_PFE_Benefits_Hosp_508.pdf
January 01, 2012 - Information to Help Hospitals Get Started
Information to Help Hospitals Get Started
Guide to Patient and Family Engagement :: 1
How Patient and Family Engagement
Benefits Your Hospital
Patient and family engagement is an area of increasing
importance for hospitals. Not only is engaging patients
and families…
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - Improving Patient Safety and Team Communication through Daily Huddles
Citation Text:
Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
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digital.ahrq.gov/ahrq-funded-projects/implementation-and-evaluation-pspro-person-specific-patient-reported-outcome
August 31, 2023 - Implementation and Evaluation of psPRO: Person-Specific Patient-Reported Outcome Assessments for Patients in HIV Care Living with Multiple Chronic Conditions
Project Final Report ( PDF , 691.27 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of t…
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psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
August 30, 2023 - Strategies to Improve Organizational Health Literacy.
Citation Text:
Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023.
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Format:…
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psnet.ahrq.gov/curated-library/medicationdrug-errors
March 12, 2021 - Breadcrumb
Home
The PSNet Collection
Curated Libraries
Subscribed
Medication/Drug Errors
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Created By: Dr. Yan Xiao, AHRQ TEP Member
Date…
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psnet.ahrq.gov/node/33600/psn-pdf
June 16, 2024 - Patient Safety 101
June 16, 2024
Patient Safety 101. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/patient-safety-101
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
they reflect current research and practice in the patient safety field. Last reviewed in…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/025-ss-why-choose-cusp-fg.docx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI
Why Choose a CUSP Approach?
Surgical Services
Slide Title and Commentary
Slide Number and Slide
Why Choose a CUSP Approach?
SAY:
Welcome to this presentation titled “Why Choose a CUSP Approach?” CUSP is short for the “Comprehensive Unit-based Safety Program.” …
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www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/osteoporosis-screening
January 14, 2025 - morbidity from fragility fractures, which are defined as fractures resulting from low energy trauma (eg, a fall … risks were recruited b
75.0 (6.7)
100
11,032
Screening: FRAX without BMD assessment, DXA, VFA, fall … clinician for personalized treatment advice including medication, evaluation for secondary osteoporosis, fall
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psnet.ahrq.gov/node/33670/psn-pdf
July 01, 2008 - on whether those solutions were adopted and whether or not they were
effective, that's where things fall
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs019726-kahn-final-report-2014.pdf
January 01, 2014 - The fall-off in fulfillment records
after 11/1/2013 in the absence of a similar fall-off in prescription
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - minimize CSF leak, mimic the compliance of dura, and be biologically inert. 48 Currently, the options fall … Commercially available sealants fall into two categories as either synthetic, consisting of polyethylene
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effectivehealthcare.ahrq.gov/sites/default/files/related_files/renal-function_disposition-comments.pdf
August 11, 2014 - information to diagnose AMI
Yes, we have diagnosis of MI (using clinical
information and serial rise/fall … We
have emphasized that the rise/fall pattern for
diagnosis is only for those who have at least
one
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide3.html
February 01, 2016 - Patients undergoing most other surgical procedures requiring hospitalization fall into the moderate-risk